NIKKI J GLASS (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821661547

NIKKI J GLASS (CNP) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.0029590 (OH). The NPI Number for NIKKI J GLASS (CNP) is 1821661547

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI J GLASS (CNP)
NPI
1821661547
Phone
(330) 455-0374
Address
625 Cleveland Ave NW
Enumeration Date
20 July 2021
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168316611
Graduation Year
2021 (5 years ago)
PAC ID
7315345030
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20211011003080
Address ID
OH441225694BE25101BLVD302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for NIKKI J GLASS (CNP)

  • 625 Cleveland Ave NW

    Canton, OH 447021805

    Phone: (330) 455-0374

    Type: Location

  • 3661 ARLINGTON RD STE D

    UNIONTOWN, OH 446856909

    Phone: (330) 595-4628

    Type: Location

  • 130 1st St NW

    Massillon, OH 446475452

    Phone: (330) 833-0234

    Fax: (330) 837-7705

    Type: Location

  • 625 CLEVELAND AVE NW

    CANTON, OH 447021805

    Phone: (330) 455-0374

    Type: Mailing

  • 130 1ST ST NW

    MASSILLON, OH 446475452

    Phone: (330) 833-0234

    Fax: (330) 837-7705

    Type: Location

  • 4800 N SCOTTSDALE RD STE 2500

    SCOTTSDALE, AZ 852517630

    Phone: (216) 468-5000

    Fax: (216) 456-8128

    Type: Mailing

  • 822 KUMHO DR STE 101

    FAIRLAWN, OH 443339298

    Phone: (330) 576-0126

    Fax: (216) 649-0551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,537.

Total Amount is formed as General ($1,537) + Research ($0) + Ownership ($0) = $1,537.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Alkermes, Inc. ($294).

Total Amount

$1,537

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211011003080INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10939$0
View full utilization report →

Insurance plans in this area (ZIP 44702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446243760View full group profile

Reviews

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Frequently asked questions

What identifier follows NIKKI J GLASS (CNP) across health systems?
The NPI 1821661547 uniquely identifies NIKKI J GLASS (CNP) in U.S. healthcare data.
Quick check: is NIKKI J GLASS (CNP) active?
Public NPPES data shows NIKKI J GLASS (CNP) with an active NPI status right now.
What does the directory say NIKKI J GLASS (CNP) does?
Insurance directories may phrase it differently, but here NIKKI J GLASS (CNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to NIKKI J GLASS (CNP)?
The directory associates NIKKI J GLASS (CNP) with Canton, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for NIKKI J GLASS (CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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